Individual
LEA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
741 WARREN AVE, PORTLAND, ME 04103-1007
(207) 879-6165
Mailing address
PO BOX 150, WESTBROOK, ME 04098-0150
(207) 879-6165
(207) 879-7466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18641
ME
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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